2022-05-12T08:33:00-05:00 2021-06-30 160765486 LUMSDEN & MCCORMICK LLP 369 FRANKLIN STREET BUFFALO NY 14202 990 2020-07-01 141347719 ST MARY'S HEALTHCARE STMA 5188421900 427 GUY PARK AVENUE AMSTERDAM NY 12010 KEITH WATERS CHIEF FINANCIAL OFFICER 5187707583 2022-05-13 1 KEITH WATERS 999009999 JILL M JOHNSON CPA P01701478 7168563300 2022-05-11 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z SCOTT BRUCE 427 GUY PARK AVENUE AMSTERDAM NY 12010 169582851 0 X WWW.SMHA.ORG X 1903 NY TO IMPROVE THE HEALTH AND WELL-BEING OF ALL THE PEOPLE IN THE COMMUNITIES WE SERVE. 11 8 1922 175 652381 0 22440610 5214549 156756613 163161450 -724489 504508 699333 702344 179172067 169582851 68239 47238 0 0 109212381 112214778 0 0 0 76477326 62810008 185757946 175072024 -6585879 -5489173 177910616 202756138 83019028 44693771 94891588 158062367 X ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. 0 0 139014504 47238 162712053 ST. MARY'S HEALTHCARE IS A 290-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2021, ST. MARY'S HEALTHCARE TREATED 4,831 ADULTS AND CHILDREN FOR A TOTAL OF 68,002 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 444,974 OUTPATIENT VISITS, WHICH INCLUDED 5,372 OUTPATIENT SURGERIES AND 21,961 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. AS PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY, THE HOSPITAL SERVED IN SUPPORT OF ASCENSION'S COMMITMENT TO BOTH CARE FOR PATIENTS AND COMMUNITIES AND SUPPORT CAREGIVERS AND OTHER ASSOCIATES THROUGH THE CHALLENGES OF THE COVID-19 GLOBAL PANDEMIC IN FY21. 139014504 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 150 0 1 1922 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KEITH WATERS 5188421900 427 GUY PARK AVENUE AMSTERDAM NY 12010 SR MARY HANNE HEENAN CSJ CHAIRPERSON 1.00 X X 0 0 0 RONALD MARSH MD VICE-CHAIRMAN 50.00 X X 810708 0 80323 MICHAEL PEPE TREASURER 1.00 X X 0 0 0 MOHAMMAD R GHAZI MD SECRETARY 50.00 X X 594126 0 75383 GREGORY ABBATTISTI DIRECTOR 1.00 X 0 0 0 SCOTT BRUCE DIRECTOR/PRESIDENT & CEO EFFECTIVE JULY 2020 50.00 1.00 X X 439247 0 79290 THOMAS CICHY DIRECTOR 1.00 X 0 0 0 JOHN DALY DIRECTOR 1.00 X 0 0 0 SUSAN DAVIS ED D DIRECTOR 1.00 X 0 0 0 EMILY ETZKORN MD DIRECTOR 1.00 X 0 0 0 ANDREW HECK DIRECTOR 1.00 X 0 0 0 REV ROBERT LONGOBUCCO DIRECTOR 1.00 X 0 0 0 VICTOR F GIULIANELLI DIRECTOR/PRESIDENT & CEO THROUGH JULY 2020 50.00 1.00 X X 369912 0 3368 FREDERICK E HENZE JR CHIEF FINANCIAL OFFICER 50.00 1.00 X X 242527 0 37092 WILLIAM MAYER CMO 50.00 X 452942 0 65527 PATRICIA SANDERS CNO 50.00 X 146079 0 34267 DUANE MILLER VP, BEHAVIORAL HEALTH 50.00 X 220986 0 47124 JAMES CHARLAND MD PHYSICIAN 50.00 X 636135 0 81510 MICHAEL FINNEGAN MD PHYSICIAN 50.00 X 648067 0 79701 ALBERT FRASER MD PHYSICIAN 50.00 X 597209 0 83154 JAMES IZZANO MD PHYSICIAN 50.00 X 603750 0 91577 GARY SINENSKY MD PHYSICIAN 50.00 X 632299 0 71562 6393987 0 829878 165 0 1 0 ATLANTIC PROFESSIONAL SERVICES OF RI 307 S EVERGREEN AVE WOODBURY NJ 08096 HOSPITALIST 3244283 ARUP LABORATORIES 500 S CHIPETA WAY SALT LAKE CITY UT 84108 LABORATORY SERVICES 1417172 ST PETERS HEALTH PARTNERS MED ASSOC PC PO BOX 12070 ALBANY NY 12212 MEDICAL SERVICES 1001745 SYNTHES USA SALES LLC 1302 WRIGHTS LN E WEST CHESTER PA 19380 MEDICAL SERVICES 383476 MEDSPEED LLC 140 INDUSTRIAL DR ELMHURST NY 60126 COURIER SERVICES 360871 13 7072 5207477 5214549 NET PATIENT SERVICE REVENUE 621990 154214631 153618232 596399 PHARMACY REVNEUE 446110 7568946 7568946 CONTRACTED SERVICES REVENUE 900099 887927 872618 15309 SERVICES TO AFFILIATES 561000 441622 441622 SPORTS MEDICINE REVENUE 621990 48324 7651 40673 163161450 70822 70822 428878 4808 0 0 428878 4808 433686 433686 CAFETERIA/VENDING REVENUE 722514 484445 484445 MISCELLANEOUS 900099 190831 190831 MEDICAL RECORDS FEES 900099 14915 14915 12153 12153 702344 169582851 162712053 652381 1003868 47238 47238 3698901 1901044 1797857 88782476 77033105 11749371 4124785 3578916 545869 8695748 7544963 1150785 6912868 5925556 987312 232341 232341 85682 85682 6006143 5391010 615133 269051 200076 68975 2211355 1895524 315831 89983 66398 23585 1673747 1052130 621617 47060 47060 7235348 6201979 1033369 1362627 308232 1054395 MEDICAL SUPPLIES 25020227 24648841 371386 PURCHASED SERVICES 13332147 13332147 OTHER 4050663 2025858 2024805 PROVIDER TAX 1193634 1193634 175072024 139014504 36057520 0 4235 4285 459275 9374866 802797 338652 14736311 16659072 2556730 3069089 83348 679749 141679980 83995690 52327627 57684290 1153260 676251 105787033 114269884 177910616 202756138 18540008 23362982 556833 635375 97551 107978 942080 603388 62882556 19984048 83019028 44693771 X 82796171 141831246 12095417 16231121 94891588 158062367 177910616 202756138 X -5489173 15360373 53299579 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 25377 25377 0 PART II-B, LINE 1: LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO STATE HOSPITAL ASSOCIATIONS THAT ARE SPECIFICALLY ALLOCABLE TO LOBBYING. ST. MARY'S HEALTHCARE DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 0 0 10943367 600 2004494 7857 12940604 10807409 1051 149763 14856 10943367 10093103 100 794106 79900 10807409 9104949 25 1076429 88300 10093103 8423426 225 950998 269700 9104949 0.50290 0.49710 0 1 1 7591798 7591798 77525981 41873548 35652433 397208 85210 311998 49755842 40479749 9276093 6409151 1557183 4851968 57684290 OTHER ASSETS 887338 OTHER RECEIVABLES 17620234 BENEFICIAL INTEREST IN THE FOUNDATION OF ST. MARY'S HEALTHCARE, INC. 16191379 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 1014000 INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE 77956279 RIGHT OF USE OPERATING LEASE 600654 114269884 ASSET RETIREMENT OBLIGATION 1500000 OTHER LIABILITIES 3894848 VALUATION GUARANTEE 286775 PENSION LIABILITY 1227927 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 1319002 RECOVERY TAIL LIABILITY 464687 MEDICARE ADVANCE PAYMENTS 11290809 19984048 PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUND IS TO ASSIST ST. MARY'S HEALTHCARE TO DEVELOP AND EXPAND ITS SERVICES TO THE COMMUNITY. FORM 990, SCHEDULE D, PART IV, LINE 2B THE HOSPITAL MAINTAINS ACCOUNTS FOR RESIDENTS OF THE SKILLED NURSING FACILITY. 1 1 0 1 X 1 1 1 0 1 1 853351 113622 739729 0.00420 48775797 34725254 14050543 0.08030 49629148 34838876 14790272 0.08450 3400858 3400858 0.01940 274073 274073 0.00160 13581020 11480802 2100218 0.01200 190718 190718 0.00110 17446669 11480802 5965867 0.03410 67075817 46319678 20756139 0.11860 11371 11371 0.00010 11371 11371 0.00010 0 1854251 66627954 75322490 -8694536 X 1 1 ST MARY'S HEALTHCARE 427 GUY PARK AVENUE AMSTERDAM NY 120101054 HTTPS://WWW.SMHA.ORG/ 2801001H X X X ST MARY'S HEALTHCARE 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X HTTPS://WWW.SMHA.ORG/LEGACY-OF-CARE/CONTINUOUS-IMPROVEMENT/ X 1 18 1 HTTPS://WWW.SMHA.ORG/LEGACY-OF-CARE/CONTINUOUS-IMPROVEMENT/ 0 1 X 250.000000000000 400.000000000000 X X 1 1 X X X 1 X HTTPS://WWW.SMHA.ORG/ST-MARYS/FINANCIAL-ASSISTANCE/GENERAL-INFORMATION X HTTPS://WWW.SMHA.ORG/ST-MARYS/FINANCIAL-ASSISTANCE/GENERAL-INFORMATION X HTTPS://WWW.SMHA.ORG/ST-MARYS/FINANCIAL-ASSISTANCE/GENERAL-INFORMATION X X X X X X X 1 X 0 X X X X X 1 X 0 0 PART V, SECTION A: ST. MARY'S HEALTHCARE CONSISTS OF TWO LICENSED FACILITIES, NAMELY, THE HOSPITAL AND THE WILKINSON RESIDENTIAL HEALTH CARE FACILITY, WHICH IS A SKILLED NURSING FACILITY. THE HOSPITAL HAS SEVERAL LOCATIONS, INCLUDING TWO OUTPATIENT ALCOHOL REHABILITATION CLINICS, ONE DIAGNOSTIC SERVICE CENTER, AND SEVEN PRIMARY CARE CENTERS. ST. MARY'S HEALTHCARE PART V, SECTION B, LINE 5: (FROM 2019 COMMUNITY SERVICE PLAN & COMMUNITY HEALTH IMPROVEMENT PLAN) AS PART OF THE COMMUNITY HEALTH ASSESSMENT, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN THE SPRING OF 2018 TO THE FALL OF 2018 FOR THE REPORTING PERIOD OF 2018-2020. A RANDOM SURVEY OF 750 INDIVIDUALS 18 AND OLDER IN ST. MARY'S HEALTHCARE SERVICE AREA WERE INTERVIEWED BY TELEPHONE. AN ONLINE SURVEY WAS ALSO CONDUCTED TO SOLICIT INPUT FROM KEY INFORMANTS. ST. MARY'S HEALTHCARE SUPPLIED A LIST OF RECOMMENDED PARTICIPANTS INCLUDING PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF COMMUNITY LEADERS. THE COMMUNITY LEADERS INCLUDE THOSE WHO WORK WITH LOW-INCOME MINORITY POPULATIONS AND MEDICALLY UNDERSERVED POPULATIONS.ST. MARY'S HEALTHCARE USES RELIABLE, THIRD-PARTY RESOURCES, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTHCARE NEEDS FOR THE COMMUNITY IT SERVES: FULTON AND MONTGOMERY COUNTIES IN NEW YORK STATE. THESE REPORTS INCLUDE VITAL INFORMATION REGARDING KEY HEALTH STATUS, SOCIOECONOMIC AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE, BUT ARE NOT LIMITED TO, REPORTS FROM: CATHOLIC CHARITIES OF FULTON AND MONTGOMERY COUNTIES, FULMONT COMMUNITY ACTION AGENCY, FULTON COUNTY DEPARTMENT OF PUBLIC HEALTH, FULTON COUNTY OFFICE FOR THE AGING, FULTON COUNTY YMCA, HFM (HAMILTON, FULTON AND MONTGOMERY) PREVENTION COUNCIL, MONTGOMERY COUNTY DEPARTMENT OF PUBLIC HEALTH, MONTGOMERY COUNTY OFFICE FOR THE AGING, US CENSUS BUREAU, ETC. TO ACCESS A COMPLETE LISTING OF RESOURCES, PLEASE REFER TO THE ST. MARY'S HEALTHCARE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. ST. MARY'S HEALTHCARE UTILIZES THESE RESOURCES TO HELP GUIDE COMMUNITY EDUCATION PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, ST. MARY'S HEALTHCARE CONSIDERS THE HEALTHCARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY AND POPULATIONS WHICH ARE UNDERSERVED, LOW-INCOME, MINORITY AND/OR WITH CHRONIC DISEASE NEEDS WERE INCLUDED THROUGH RANDOMIZED PHONE SURVEYS AND AN EMAILED KEY INFORMANT SURVEY. ST. MARY'S HEALTHCARE PART V, SECTION B, LINE 6A: ST. MARY'S HEALTHCARE CONDUCTED ITS CHNA WITH THE FOLLOWING OTHER HOSPITAL FACILITY: ST. MARY'S HOSPITAL. ST. MARY'S HEALTHCARE PART V, SECTION B, LINE 11: THE CHNA STEERING COMMITTEE MET ON FEBRUARY 12, 2019 TO DETERMINE THE HEALTH NEEDS TO BE PRIORITIZED FOR ACTION. THE AREAS OF OPPORTUNITY WERE PRIORITIZED BY THE COMMITTEE AS FOLLOWS: NUTRITION/PHYSICAL ACTIVITY/WEIGHT MANAGEMENT-SPECIFICALLY DIABETES PREVENTION AND MENTAL HEALTH/SUBSTANCE ABUSE. ST. MARY'S HEALTHCARE IS CONTINUALLY WORKING TO MEET THE GOALS SET FORTH IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGY FY 2020-2022. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT (SPECIFICALLY DIABETES PREVENTION): ST. MARY'S HAS ESTABLISHED A TEACHING KITCHEN TO HOST COOKING CLASSES AND DEMONSTRATIONS FOR PATIENTS IN TARGETED POPULATIONS. PRIMARY CARE PROVIDERS AND THEIR STAFF DISCUSS NUTRITIONAL CONCERNS WITH PATIENTS AND PROVIDE REFERRALS FOR NUTRITIONAL COUNSELING AS NECESSARY. ST. MARY'S HAS A DIABETES AND NUTRITION EDUCATION CENTER TO PROVIDE NUTRITIONAL COUNSELING TO THE COMMUNITY, AND THE PREGNANCY CARE CENTER. ST. MARY'S HAS ESTABLISHED 6 OFF-SITE AND ON CAMPUS "MISSION CUPBOARDS," WHICH SERVE AS EMERGENCY FOOD PANTRIES FOR PATIENTS IN NEED. A DOCUMENT LISTING ALL COMMUNITY MEALS AND FOOD PANTRIES HAS BEEN CREATED AND SHARED AS A RESOURCE FOR PROVIDERS AND STAFF. A TASK FORCE HAS BEEN ESTABLISHED TO INCLUDE COMMUNITY PARTNERS. ST. MARY'S HAS ESTABLISHED A REFERRAL PROCESS TO INCREASE ENROLLMENT IN AN EVIDENCE-BASED DIABETES PREVENTION LIFESTYLE CHANGE PROGRAM (DIABETES PREVENTION PROGRAM-DPP) THE CLASS IS OFFERED TO PEOPLE WHO ARE AT HIGH RISK FOR TYPE 2 DIABETES THAT CAN PREVENT OR DELAY THE DISEASE BY LOSING A MODEST AMOUNT OF WEIGHT THROUGH LIFESTYLE CHANGES (DIETARY CHANGES AND INCREASED PHYSICAL ACTIVITY) THE CANCER PEER EDUCATION TEAM HAS DEVELOPED AN INDOOR "FUN AND FREE WALKING PROGRAM" FOR THE COMMUNITY TO EXERCISE DURING THE WINTER MONTHS. HEALTHY FOOD AND BEVERAGE CHOICES ARE ALSO DISCUSSED AT THIS WEEKLY PROGRAM. ST. MARY'S HAS PARTNERED WITH CATHOLIC CHARITIES TO ESTABLISH A FOOD FARMACY AT THE MEMORIAL CAMPUS TO PROVIDE LOW-INCOME, FOOD INSECURE PATIENTS WITH CHRONIC HEALTH CONDITIONS, TEMPORARY ACCESS TO HEALTHY FOODS AND NUTRITION EDUCATION WITH AN ON-SITE DIETITIAN. MENTAL HEALTH/SUBSTANCE ABUSE: ST. MARY'S HEALTHCARE HAS JOINED WITH COMMUNITY PARTNERS, PUBLIC HEALTH, AND PROVIDERS TO FORM AN OVERDOSE TASK FORCE. THE TASK FORCE WILL INCREASE AVAILABILITY AND ACCESS TO MEDICATION-ASSISTED TREATMENT AND OVERDOSE REVERSAL. ST. MARY'S HEALTHCARE ALSO CONTINUES TO PARTICIPATE AS A MEMBER OF THE FULTON MONTGOMERY SUICIDE PREVENTION TASK FORCE. THE HOSPITAL IS AVAILABLE TO PROVIDE EDUCATIONAL MATERIALS AND RESOURCES TO SCHOOLS IN FULTON AND MONTGOMERY COUNTIES. ST. MARY'S HAS EXPANDED COLLABORATION TO BECOME A TRAUMA-INFORMED COMMUNITY TO PROVIDE CARE TO THOSE AFFECTED BY MENTAL, EMOTIONAL, AND BEHAVIORAL DISORDERS. THIS WILL ALSO EXPAND CRISIS TRAINING TO CLINICAL CAREGIVERS. ST. MARY'S HAS ADOPTED A COLLABORATIVE CARE APPROACH FOR BEHAVIORAL HEALTH AT THE AMSTERDAM AND JOHNSTOWN FAMILY HEALTH CENTERS. BEHAVIOR HEALTH CARE MANAGERS HELP TO COORDINATE BEHAVIORAL HEALTH APPOINTMENTS AND COMMUNICATE PATIENT NEEDS TO PRIMARY CARE PROVIDERS TO ENSURE THAT PATIENTS' PHYSICAL AND BEHAVIORAL HEALTH NEEDS ARE BEING MET. THE SOCIAL DETERMINANTS OF HEALTH (SDOH), PHQ-2 AND PHQ-9 SCREENING TOOLS HAVE BEEN INCORPORATED INTO PRIMARY CARE CLINICS WORKFLOW TO BETTER ADDRESS PATIENTS' MENTAL HEALTH NEEDS. PATIENTS ARE ASKED THE SDOH QUESTIONNAIRE AT INITIAL APPOINTMENTS, WHEREAS PH-2 AND PHQ-9 SCREENING OCCURRING AT EVERY VISIT. ST. MARY'S WALK-IN OUTPATIENT DETOX PROGRAM LOCATED IN THE MEMORIAL CAMPUS HAS HELPED TO INCREASE THE ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) AND OVERDOSE REVERSAL (NALOXONE). THIS OUTPATIENT DETOX PROGRAM HAS ALSO INCREASED THE AVAILABILITY OF/ACCESS TO OVERDOSE REVERSAL TRAINING TO PRESCRIBERS, PHARMACISTS, AND CONSUMERS. OTHER NEEDS: PRENATAL NUTRITION COUNSELING IS OFFERED TO PROVIDE PATIENTS WITHIN THE OB CLINIC WITH INFORMATION RELATED TO HEALTHY EATING AND HEALTHY WEIGHT GAIN THROUGHOUT THEIR PREGNANCY. MEDICAL PROVIDERS AT PRIMARY CARE CENTERS ASSESS PATIENTS FOR TOBACCO USE AND PROVIDE COUNSELING. PATIENTS ARE ALSO OFFERED "BUTT STOPS HERE" CLASSES TO ENCOURAGE SMOKING CESSATION. ST. MARY'S PROVIDES FREE FLU SHOTS TO THE LOCAL COLLEGE AND BOCES'S STUDENTS IN THE CNA, LPN, AND RN NURSING CLASSES AND TO OUR MIGRANT FARM WORKERS IN THE RURAL SECTIONS OF MONTGOMERY COUNTY. THE HOSPITAL PARTNERS WITH LOCAL PHYSICIANS AND MEDICAL PROVIDERS TO OFFER EDUCATIONAL PROGRAMS ON JOINT, BONE AND BACK HEALTH. WE HAVE A PARTNERSHIP WITH A LOCAL ORTHOPEDIC PRACTICE TO OFFER "JOINT SCHOOL" WHICH EDUCATES CANDIDATES FOR JOINT REPLACEMENT ON SURGERY, TREATMENT, CARE, AND MANAGEMENT OF BONE AND JOINT TISSUES. ST. MARY'S CURRENTLY AUDITS PATIENT RECORDS TO ENSURE THAT ALL DIABETICS ARE RECEIVING THE CARE THEY NEED TO PREVENT RENAL DISEASE AS A RESULT OF COMPLICATIONS FROM THEIR DIABETES. IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, ST. MARY'S HEALTHCARE DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE. THE FOLLOWING IDENTIFIED NEEDS ARE NOT BEING ADDRESSED BY CHNA: * ACCESS TO HEALTHCARE SERVICES: AS EVIDENCED BY THE CHNA, WE HAVE FEWER PRIMARY CARE PROVIDERS THAN MOST OF NYS. HOWEVER, WE ARE OUTPERFORMING MOST AREAS WHEN IT COMES TO ADULTS AND CHILDREN ATTENDING WELLNESS VISITS. ONLY 5.5% OF PEOPLE IN OUR SERVICE AREA UNINSURED. SMH EMPLOYS A FULL-TIME HEALTH INSURANCE ENROLLER AND SIX CERTIFIED APPLICATION COUNSELORS TO PROVIDE INDIVIDUALS WITH APPROPRIATE HEALTH INSURANCE. IN ADDITION, WE HAVE A FULL-TIME PHYSICIAN RECRUITER WHO IS FOCUSING ON INCREASING PROVIDERS IN OUR AREA. * RESPIRATORY DISEASES: AS PART OF SMH'S COLLABORATION WITH THE ALLIANCE FOR BETTER HEALTH, A PART OF DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM) OF NEW YORK STATE, PROJECT 4.B.I. ACTIONS WERE COMPLETED IN 2018 TO ADDRESS RESPIRATORY DISEASES. PRIMARY CARE PATIENTS ARE SCREENED FOR TOBACCO USE USING THE "5 A'S" MODEL AND REFERRALS TO THE NYS SMOKER'S QUITLINE ARE BUILT INTO THE EMR. PRIMARY CARE SITES HAVE BEEN SUPPLIED WITH SPIROMETERS AND SMH EMPLOYS AN ASTHMA EDUCATOR. *INJURY AND VIOLENCE: ACCORDING TO THE CHNA, OUR SERVICE AREA'S MORTALITY RATE DUE TO UNINTENTIONAL INJURY IS SIMILAR TO THE HEALTHY PEOPLE 2020 GOAL AND LOWER THAN THE NATIONAL AVERAGE. THE RATE OF VIOLENT CRIMES IN OUR SERVICE AREA HAS REMAINED STATISTICALLY UNCHANGED. * POTENTIALLY DISABLING CONDITIONS: SMH CONTINUOUSLY PARTNERS WITH LOCAL PHYSICIAN AND MEDICAL PROVIDERS TO OFFER FREE OF CHARGE EDUCATIONAL PROGRAMS ON JOINT, BONE AND BACK HEALTH. ADDITIONALLY, AN SMH INTERDISCIPLINARY TEAM PARTNERS WITH A LOCAL ORTHOPEDIC PRACTICE TO OFFER A "JOINT SCHOOL", WHICH IDENTIFIES CANDIDATES FOR JOINT REPLACEMENT. ST. MARY'S HEALTHCARE PART V, SECTION B, LINE 16J: INDIVIDUAL LETTERS ARE MAILED TO ALL UNINSURED PATIENTS INFORMING THEM OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. ST. MARY'S HEALTHCARE PART V, SECTION B, LINE 20E: THE BILLING AND COLLECTIONS POLICY OF ST. MARY'S HEALTHCARE DOES NOT ALLOW A HOSPITAL TO ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE THE ORGANIZATION MADE REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS TAKEN INCLUDE BUT ARE NOT LIMITED TO:- NOTIFYING INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY ON ADMISSION.- NOTIFYING INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY ON BILLING STATEMENTS THROUGHOUT THE BILLING CYCLE. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN OUR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS WERE VOTED ON AND PRIORITIZED BY A COMMITTEE OF APPROXIMATELY 60 COMMUNITY STAKEHOLDERS, CONSISTING OF CLINICIANS, BUSINESS LEADERS, HEALTH EDUCATORS, SOCIAL WORKERS, ETC. THE PRIORITIZED HEALTH NEEDS ARE AS FOLLOWS: SUBSTANCE ABUSE/MENTAL HEALTH, NUTRITION/OBESITY/WEIGHT MANAGEMENT-SPECIFICALLY DIABETES PREVENTION. THE IMPLEMENTATION STRATEGY WAS DEVELOPED AFTER THE NEEDS WERE IDENTIFIED AND PRIORITIZED BASED ON SCOPE AND SEVERITY, AND THE PROGRAMS/SERVICES OF THE IMPLEMENTATION PLAN REFLECT THOSE TOP HEALTH PRIORITIES. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22D THE MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE INDIVIDUALS IS BASED ON THE UNINSURED DISCOUNT, WHICH IS REVIEWED AND UPDATED ANNUALLY, AS APPLICABLE. UNINSURED PATIENTS WITH THE ABILITY TO PAY WILL BE PROVIDED A DISCOUNT BASED ON THE DISCOUNT PROVIDED TO THE HIGHEST-PAYING PAYER THAT ACCOUNTS FOR AT LEAST THREE PERCENT OF THE HOSPITAL'S VOLUME OR GROSS PATIENT REVENUES. IN FY21, THE HOSPITAL PROVIDED DISCOUNTS TO THE UNINSURED EQUAL TO 38% OF CHARGES FOR INPATIENTS AND 47% OF CHARGES FOR OUTPATIENTS. 10 1 - ST MARY'S HEALTHCARE 4988 STATE HIGHWAY 30 AMSTERDAM NY 12010 DIAGNOSTIC CARE, PRIMARY CARE, CANCER MEDICINE, IP PHYSICAL REHAB, MH 2 - WILKINSON RESIDENTIAL HEALTHCARE FACILIT 4988 STATE HIGHWAY 30 AMSTERDAM NY 12010 RESIDENTIAL HEALTH CARE FACILITY 3 - FULTON COUNTY AMH AND ADDICTION CLINIC 73 NORTH MAIN STREET GLOVERSVILLE NY 12078 MENTAL HEALTH AND ADDICTION SERVICES 4 - CANAJOHARIE FAMILY HEALTH CENTER 48 ERIE BOULEVARD CANAJOHARIE NY 13317 FAMILY HEALTH CENTER 5 - JOHNSTOWN FAMILY HEALTH CENTER 700 S PERRY STREET JOHNSTOWN NY 12095 FAMILY HEALTH CENTER 6 - GLOVERSVILLE FAMILY HEALTH CENTER 84 E STATE STREET GLOVERSVILLE NY 12078 FAMILY HEALTH CENTER 7 - CARONDELET FAMILY HEALTH CENTER 380 GUY PARK AVENUE AMSTERDAM NY 12010 FAMILY HEALTH CENTER 8 - DIAGNOSTIC SERVICE CENTER 110 HOLLAND CIRCLE DRIVE AMSTERDAM NY 12010 DIAGNOSTIC CARE CENTER 9 - NORTHVILLE FAMILY HEALTH CENTER 331 BRIDGE STREET NORTHVILLE NY 12134 FAMILY HEALTH CENTER 10 - PODIATRY HEALTH CENTER 446A GUY PARK AVENUE AMSTERDAM NY 12010 SPECIALTY CARE SERVICES PART I, LINE 3C: PATIENTS WITH DEMONSTRATED FINANCIAL NEEDS WITH INCOME GREATER THAN 400% OF THE FPL MAY BE ELIGIBLE FOR CONSIDERATION UNDER A "MEANS TEST" FOR SOME DISCOUNT OF THEIR CHARGES FOR SERVICES FROM THE ORGANIZATION BASED ON A SUBSTANTIVE ASSESSMENT OF THEIR ABILITY TO PAY. PATIENTS WILL BE REQUIRED TO COMPLETE THE ORGANIZATIONS MEANS TEST APPLICATION WHICH REQUIRES DISCLOSURE OF DETAILED INFORMATION REGARDING DEBT AND INCOME TO DETERMINE ELIGIBILITY FOR A MEANS TEST DISCOUNT. A PATIENT ELIGIBLE FOR THE "MEANS TEST" DISCOUNT WILL NOT BE CHARGED MORE THAN THE CALCULATED AGB CHARGES. PART III, LINE 2: AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTIONS EFFORTS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST TO CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2021 WAS $5,042,055 AT CHARGES ($1,854,251 AT COST). PART III, LINE 3: ST. MARY'S HEALTHCARE FOLLOWS THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. PART III, LINE 4: THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE IS LOCATED ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS. FORM 990, SCHEDULE I, PART III, LINE 3 ST. MARY'S HEALTHCARE HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. PART VI, LINE 2: IN ADDITION TO THE CHNA PROCESS DESCRIBED IN SCHEDULE H PART V, THE HOSPITAL SOUGHT INPUT FROM ITS BOARD OF TRUSTEES, MEDICAL EXECUTIVE COMMITTEE, LEADERSHIP STAFF AND COMMUNITY PARTNERS WHEN COMPLETING ITS ANNUAL INTEGRATED STRATEGIC, OPERATIONAL, AND FINANCIAL PLAN (ISOFP). THE ISOFP USES PERTINENT DATA AND COMPREHENSIVE FEEDBACK TO OUTLINE CURRENT AND FUTURE CRITICAL HEALTHCARE NEEDS FOR THE HOSPITAL'S SERVICE AREA, AS WELL AS THE RESOURCES NEEDED TO ADDRESS THE IDENTIFIED ISSUES. PART VI, LINE 3: ST. MARY'S HEALTHCARE STRIVES TO MAINTAIN A BALANCE BETWEEN PROVIDING CARE OF THE POOR WITH THE ABILITY OF THE HOSPITAL TO MAINTAIN QUALITY HEALTH CARE FOR THE COMMUNITY IT SERVES. AS PART OF ITS FINANCIAL ASSISTANCE POLICIES, THE HOSPITAL OFFERS A SELF-PAY DISCOUNT TO ALL UNINSURED PATIENTS AS A PERCENTAGE OFF THE STANDARD CHARGE; THE DISCOUNTS WERE SET AT 38% FOR INPATIENT SERVICES AND 47% FOR OUTPATIENT SERVICES. FOR THE TWELVE-MONTH PERIOD (JULY 2020-JUNE 2021), THE DISCOUNTS PROVIDED TO THE UNINSURED WERE $2,382,945. THE CARONDELET CARE ASSISTANCE PROGRAM IS THE NEXT LEVEL OF FINANCIAL ASSISTANCE AVAILABLE TO THE HOSPITAL'S PATIENTS. THIS PROGRAM IS AVAILABLE TO ALL PATIENTS WHO CAN DEMONSTRATE A FINANCIAL BURDEN ASSOCIATED WITH THEIR PATIENT RESPONSIBILITY. FINANCIAL ASSISTANCE IS PROVIDED THROUGH COLLABORATION BETWEEN THE HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE STAFF. ALTHOUGH THE TWO DEPARTMENTS OFFER DIFFERENT FINANCIAL ASSISTANCE SERVICES, THE ENROLLMENT STAFF IS TRAINED TO HELP THOSE INDIVIDUALS WHO DO NOT QUALIFY FOR ANY GOVERNMENT SPONSORED PROGRAMS TO ACCESS THE CARONDELET CARE ASSISTANCE PROGRAM. SIMILARLY, THE FINANCIAL COUNSELORS OFTEN REFER PATIENTS IN NEED OF INSURANCE TO OUR ENROLLMENT SPECIALIST. THE ENROLLMENT STAFF IS AVAILABLE TO MEET WITH COMMUNITY MEMBERS AT THE MAIN HOSPITAL, THE MEMORIAL CAMPUS AND AT ALL SEVEN OF THE OFF-SITE FAMILY HEALTH CENTERS. STAFF IS ALSO TRAINED TO REFER INDIVIDUALS TO FREE OR LOW-COST HEALTH CARE PROGRAMS WITHIN THE COMMUNITY IF NO OTHER OPTIONS ARE IMMEDIATELY AVAILABLE. THE HOSPITAL ENROLLER WORKS COLLABORATIVELY WITH COMMUNITY AGENCIES TO FURTHER EXPAND ITS OUTREACH. LARGE POSTERS DESCRIBING THE HOSPITAL'S WILLINGNESS TO HELP PATIENTS WITH FINANCIAL ASSISTANCE ARE DISPLAYED IN ALL MAIN ENTRANCES TO THE HOSPITAL AND THE OFF-SITE LOCATIONS, AS WELL AS IN OUR MULTIPLE REGISTRATION SITES AND WAITING ROOMS. THE INFORMATIONAL POSTERS ARE IN ENGLISH AND SPANISH AND URGE PATIENTS TO CALL IF THEY ARE CONCERNED ABOUT BILL PAYMENT. TRANSLATION SERVICES ARE ALSO AVAILABLE AS NEEDED VIA LANGUAGE LINE TELEPHONES AND IPAD VIDEO APPLICATION. BROCHURES IN ENGLISH AND SPANISH ARE AVAILABLE AT ALL SERVICE SITES AND OFFER DETAILED INFORMATION ABOUT THE VARIOUS LEVELS OF ASSISTANCE. IN ADDITION TO OFFERING DISCOUNTS, ST. MARY'S OFFERS OPTIONS FOR PAYMENT PLANS AND PAYMENT SCHEDULES. THE ENGLISH AND SPANISH BROCHURES ARE ALSO AVAILABLE ON THE HOSPITAL WEB SITE. INFORMATION ON FINANCIAL ASSISTANCE IS ALSO CONTAINED IN THE PATIENT INFORMATION GUIDE GIVEN TO ALL INPATIENTS AT ST. MARY'S HEALTHCARE. PART VI, LINE 4: THE PSA REPRESENTS ONE OF THE OLDEST REGIONS IN NYS. ESTIMATES INDICATE THAT THE 65 AND OLDER POPULATION WILL CONTINUE TO GROW. ACCORDING TO SG2 HEALTHCARE ANALYTICS, THE LARGEST PROJECTED SEGMENT OF OUR POPULATION SHOWING GROWTH OVER THE NEXT 5 YEARS IS THE 60+, WITH AN AVERAGE GROWTH RATE OF 11.8%. IN FACT, WITHIN THIS SEGMENT, 67-69+ SHOWS AN 18.3% PROJECTED INCREASE. OVER THE PAST YEAR THE ST. MARY'S SERVICE AREA HAS SEEN AN INCREASE IN THE UNEMPLOYMENT RATE, FULTON COUNTY INCREASED FROM 4.7% TO 13% AND MONTGOMERY INCREASED FROM 5% TO 13.6% KEEPING BOTH COUNTIES LOWER THAN THE STATE AVERAGE OF 16%. THERE ARE MANY FACTORS THAT CONTRIBUTE TO THE COMMUNITY'S POVERTY LEVELS, INCLUDING THE HIGH SCHOOL DROPOUT RATE IN BOTH COUNTIES. REPORTS INDICATE AN AVERAGE DROPOUT RATE OF 10% IN FULTON COUNTY AND 9% IN MONTGOMERY COUNTY WITH OUR TWO LARGEST SCHOOL DISTRICTS AVERAGING AN 11.5% DROPOUT RATE. THE LACK OF EDUCATION AFFECTS THE WORKFORCE, CONTRIBUTES TO HIGHER UNEMPLOYMENT AND GREATER RISK OF WORKING WITHOUT HEALTH INSURANCE. IN THE PSA OF FULTON AND MONTGOMERY COUNTIES THE MEDIAN POVERTY RATE IS 17.8% WHICH IS 2.7% HIGHER THAN THE STATE AVERAGE. RESEARCH INDICATES A DECLINE IN THE CAUCASIAN POPULATION, WHICH IS A CONSISTENT TREND OVER SEVERAL YEARS. THE HISPANIC COMMUNITY IS OUR LARGEST MINORITY COMMUNITY, WITH THE LARGEST CONCENTRATION WITHIN THE CITY OF AMSTERDAM. US CENSUS 2017 ESTIMATES INDICATE THAT 30.2% OF THE RESIDENTS OF AMSTERDAM ARE IDENTIFIED AS HISPANIC WHICH IS MORE THAN 11.7% HIGHER THAN THE NATIONAL AVERAGE. THE HOSPITAL EMPLOYS BILINGUAL AND BICULTURAL HEALTHCARE PROFESSIONALS TO MEET THE NEEDS OF THE HISPANIC COMMUNITY.HEALTH STATISTICS RELEVANT TO THE COMMUNITY'S HEALTH STATUS ARE AS FOLLOWS: OVER 71.3% OF THE ST. MARY'S HEALTHCARE SERVICE AREA ADULTS ARE OVERWEIGHT. ESPECIALLY ALARMING IS THAT 37.2% OF OUR CHILDREN ARE OVERWEIGHT. THE RELATIONSHIP OF BEING OVERWEIGHT WITH OTHER HEALTH ISSUES SUCH AS HIGH BLOOD PRESSURE, CHRONIC DEPRESSION, ARTHRITIS AND DIABETES ARE SIGNIFICANT. POOR NUTRITIONAL HABITS AND LACK OF PHYSICAL ACTIVITY ARE SIGNIFICANT CONTRIBUTING FACTORS TO THE OVERWEIGHT STATUS OF OUR COMMUNITY. ACCESS TO QUALITY HEALTH CARE SERVICES IS IMPORTANT FOR INCREASING THE QUALITY OF LIFE FOR EVERYONE. IT IMPACTS OVERALL PHYSICAL, SOCIAL AND MENTAL HEALTH STATUS; THE PREVENTION OF DISEASE AND DISABILITY; QUALITY OF LIFE; PREVENTABLE DEATH AND LIFE EXPECTANCY. UNINSURED INDIVIDUALS COMPRISE 5.5% OF THE POPULATION IN FULTON AND MONTGOMERY COUNTIES. OF THE TOTAL RESPONDENTS, 4% OF THOSE WITH LOW-INCOME WENT WITHOUT SOME TYPE OF COVERAGE THE PAST YEAR. THE LARGEST SEGMENT IN OUR SERVICE AREA REPORTING A LACK OF HEALTHCARE INSURANCE COVERAGE ARE MEN AND WOMEN AGED 18 TO 39. ADDITIONALLY, OVER 43% OF RESPONDENTS REPORTED SOME TYPE OF DIFFICULTY OR DELAYS IN RECEIVING NEEDED HEALTH CARE IN THE PAST YEAR, WITH THOSE WHO ARE UNINSURED MUCH MORE LIKELY TO REPORT BARRIERS WHEN COMPARED TO THE INSURED POPULATION. PART VI, LINE 5: ST. MARY'S HEALTHCARE'S GOVERNING BODY CONSISTS OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF ST. MARY'S HEALTHCARE'S GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL ITS DEPARTMENTS OR SPECIALTIES AND APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. MANY SURPLUS FUNDS FIND THEIR WAY TO MISSION TRIPS IN THIRD WORLD COUNTRIES OR STAY HERE FOR THE MEDICAL MISSION AT HOME EVENTS. ST. MARY'S HEALTHCARE PROMOTES THE HEALTH OF ITS COMMUNITY THROUGH VARIOUS ACTIVITIES, INCLUDING THE FOLLOWING: DURING JULY 2020-JUNE 2021, COMMUNITY EDUCATION WAS PROVIDED ON TOPICS SUCH AS DIABETES EDUCATION, NUTRITION AND PHYSICAL ACTIVITY, MENTAL HEALTH, BREAST, CERVICAL AND COLORECTAL CANCER SCREENINGS, HEALTH INSURANCE, CHILDBIRTH EDUCATION, DIABETES PREVENTION, BONE AND JOINT HEALTH, BRAIN INJURY AWARENESS, HEART HEALTH, INFANT CPR, LACTATION SUPPORT SUICIDE PREVENTION, HEALTH CARE PROXYS, GENERAL MENTAL WELL-BEING, GASTROENTEROLOGY, SKIN CANCER PREVENTION, AND OTHER WELLNESS AREAS. HOSTED THREE AMERICAN RED CROSS BLOOD DRIVES TO ADDRESS THE CRITICAL NEED FOR BLOOD IN OUR SERVICE AREA. PROVIDED HEALING TOUCH TREATMENTS TO WOMEN WHO HAVE BREAST CANCER OR WHO ARE BREAST CANCER SURVIVORS, CLIENTS OF PROS PROGRAM AND WILKINSON RESIDENTS. FROM JULY 2020 JUNE 2021, ST. MARY'S ASSOCIATES GAVE OVER 500 HOURS BACK TO THEIR COMMUNITY SERVING ON VARIOUS BOARDS INCLUDING MINORITY HEALTH TASK FORCE, ROTARY, DANIELLE'S HOUSE, COMMUNITY HEALTH CENTER (CHC) , GREATER AMSTERDAM VOLUNTEER AMBULANCE CORP (GAVAC), NEW DIMENSIONS IN HEALTH CARE, HEALTHY ALLIANCE IPA, HABITAT FOR HUMANITY, MONTGOMERY COUNTY EMS, ALBANY MEDICAL CENTER TRAUMA, ADIRONDACK - APPALACHIAN REGIONAL EMERGENCY MEDICAL SERVICES (AAERMS), FULTON MONTGOMERY CHAMBER OF COMMERCE, LEXINGTON FINANCE, FULTON MONTGOMERY COMMUNITY COLLEGE (FMCC), INNOVATIVE HEALTH ALLIANCE OF NEW YORK (IHANY), CATHOLIC CHARITIES OF FULTON AND MONTGOMERY COUNTIES, COMMUNITY FOOD ASSISTANCE NETWORK FROM JULY 2020 THROUGH JUNE 2021, THE HOSPITAL SUPPORTED THE WORK OF MANY COMMUNITY GROUPS INCLUDING THE LIBERTY FOUNDATION, MAKE A WISH FOUNDATION, MONTGOMERY COUNTY OFFICE FOR AGING, CITY OF AMSTERDAM, FULTON MONTGOMERY COMMUNITY COLLEGE, FULMONT COMMUNITY ACTION AGENCY, FULTON MONTGOMERY REGIONAL CHAMBER OF COMMERCE, DANIELLE'S HOUSE, ROTARY CLUBS, INTERFAITH PARTNERSHIP FOR THE HOMELESS, UNITED WAY, AND NUMEROUS SCHOOL CLUBS, SPORT TEAMS AND COMMUNITY GROUPS THROUGH ITS FISCAL DONATIONS. ST. MARY'S HAS A PARTNERSHIP WITH PALMER'S PHARMACY IN JOHNSTOWN. IF PATIENTS NEED MEDICATION AND CANNOT EITHER PAY FOR IT OR PICK UP THEIR PRESCRIPTIONS, PALMER'S WILL DELIVER TO THE HOSPITAL, THEIR HOME, OR HAVE IT READY FOR PICK-UP FOR THE PATIENT. ST. MARY'S CONTINUED TO BE A LEADER AND COLLABORATOR WITH A GROUP OF PARTNERS FROM LOCAL HEALTH CARE ENTITIES AND COMMUNITY AGENCIES WHOSE MISSION IS TO IMPROVE THE HEALTH STATUS FOR ALL WE SERVE. DURING 2020-2021, WE CONTINUED TO CARRY OUT THE WORK WE COMMITTED TO IN OUR IMPLEMENTATION STRATEGY AND COMMUNITY SERVICE PLAN. IN FY21, WE CONTINUED OUR SEVENTEENTH YEAR OF DISTRIBUTING EDUCATIONAL INFORMATION ON INSURANCE ELIGIBILITY FOR CHILDREN THROUGH THE SCHOOL SYSTEM, PUBLIC SERVICE ANNOUNCEMENTS, ADVERTISING AND APPEARANCES AT "BACK TO SCHOOL" EVENTS SUCH AS PTA MEETINGS AND OPEN HOUSES. ENROLLED 712 INDIVIDUALS IN STATE-SPONSORED INSURANCE PROGRAMS AND PROGRAMS THROUGH THE NEW YORK STATE OF HEALTH MARKETPLACE. PROVIDED 247 LIFE-SAVING CANCER SCREENINGS TO UNINSURED INDIVIDUALS THROUGH THE CANCER SERVICES PROGRAM. SUPPORTED A PROMOTOR WHO PROVIDED OUTREACH EDUCATION, REFERRAL, FOLLOW-UP, CASE MANAGEMENT AND ADVOCACY SERVICES TO OUR LATINO AND MIGRANT COMMUNITY. THE GOAL OF THE PROGRAM IS TO PROMOTE NEEDED PRIMARY HEALTH SERVICES AND PREVENTION EFFORTS IN A CULTURALLY APPROPRIATE MANNER. MAINTAINED THE IMPORTANCE OF CULTURALLY SENSITIVE AND ACCURATE COMMUNICATION WITH LATINO PATIENTS AND PATIENTS WITH LIMITED ENGLISH PROFICIENCY THROUGH THE USE OF TRANSLATION SERVICES WHICH INCLUDE PROFESSIONAL PHONE AND VIDEO TRANSLATION SERVICES AND THE TRANSLATION OF KEY DOCUMENTS. ENGLISH AND SPANISH ARE THE MOST PROMINENT LANGUAGES SPOKEN IN THE COMMUNITY, AND ALL SIGNAGE IS POSTED IN BOTH ENGLISH AND SPANISH THROUGHOUT THE ORGANIZATION. THE IPAD VIDEO SERVICES ALSO SERVE THOSE IN NEED OF SIGN LANGUAGE SERVICES. ST. MARY'S HEALTHCARE HOSTS SEVERAL COMMUNITY SUPPORT GROUPS INCLUDING MONTHLY GROUPS FOR BRAIN INJURY, CANCER, AND NEW MOMMY MEET UP A MAJORITY OF THE HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE HOSPITAL, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL ESTABLISHED THE CARONDELET COMMUNITY FUND, WHICH PROVIDES MODEST ASSISTANCE TO LOCAL PROGRAMS AND AGENCIES WHOSE VALUES AND MISSION ALIGN WITH THE VALUES OF ST. MARY'S HEALTHCARE. GRANTS FROM THE FUND ARE MADE TO ELIGIBLE NON-PROFIT COMMUNITY AGENCIES WHICH ARE LOCATED WITHIN THE SERVICE AREA OF ST. MARY'S HEALTHCARE AND WHICH SHARE THE VALUES OF ST. MARY'S WITH AN EMPHASIS ON SERVICE TO THE POOR AND VULNERABLE, AND HOLISTIC CARE. TWELVE LOCAL NOT-FOR-PROFIT AGENCIES SERVING OUR COMMUNITY WERE ONCE AGAIN AWARDED GRANT FUNDING AS PART OF ST. MARY'S CARONDELET COMMUNITY FUND PROGRAM OF 2021. FUNDS WERE ALLOCATED TO JOHNSTOWN COUNCIL OF CHURCHES FOOD PANTRY-ST. JOHN'S EPISCOPAL CHURCH, NEW DIMENSIONS IN HEALTH CARE, HFM PREVENTION COUNCIL-CREATIVE CONNECTIONS CLUBHOUSE, FORT PLAIN REFORMED CHURCH, COMFORT ZONE-TRINITY LUTHERAN CHURCH, CATHOLIC CHARITIES OF FULTON AND MONT COUNTIES, MONTGOMERY COUNTY OFFICE FOR AGING, BROADALBIN-PERTH LIONS FOUNDATION, GROW AMSTERDAM, CENTRO CIVICO, HAVEN OF HOPE, THE ARC LEXINGTON. PART VI, LINE 6: THROUGH AUGUST 31, 2020, ST. MARY'S HEALTHCARE (THE HOSPITAL) WAS A MEMBER OF ASCENSION HEALTH. IN DECEMBER 2011, ASCENSION HEALTH ALLIANCE BECAME THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC, NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTH CARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION HEALTH ALLIANCE IS SPONSORED BY ASCENSION HEALTH MINISTRIES, A PUBLIC JURIDICAL PERSON.THE HOSPITAL, LOCATED IN AMSTERDAM, NEW YORK, IS A NONPROFIT ACUTE CARE HOSPITAL. THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE HOSPITAL, MEDICAL SERVICES ENHANCEMENT, INC. (MSE), CARONDELET REGIONAL MEDICAL, P.C., AND THE FOUNDATION OF ST. MARY'S HEALTHCARE, INC. (FOUNDATION). MSE OPERATES A MEDICAL OFFICE BUILDING TO RETAIN AND ATTRACT PHYSICIAN SPECIALISTS TO BETTER SERVE THE HEALTHCARE NEEDS OF THE COMMUNITY. CARONDELET REGIONAL MEDICAL, P.C IS A MULTISPECIALTY PHYSICIAN PRACTICE. THE FOUNDATION'S PRIMARY PURPOSE IS TO ASSIST THE HOSPITAL TO DEVELOP AND EXPAND ITS SERVICES TO THE COMMUNITY BY PROVIDING A FOCAL POINT AS THE RECIPIENT FOR PHILANTHROPIC SUPPORT AND BY TRANSFERRING FUNDS TO THE HOSPITAL.THE HOSPITAL PROVIDES ACUTE INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF MONTGOMERY, FULTON, AND HAMILTON COUNTIES. THE HOSPITAL ALSO PROVIDES AN ARRAY OF BEHAVIORAL HEALTH SERVICES INCLUDING INPATIENT MENTAL HEALTH AND ALCOHOL REHABILITATION PLUS OUTPATIENT MENTAL HEALTH AND ALCOHOL RELATED SERVICES. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. ADDITIONALLY, THE HOSPITAL OPERATES A 160-BED SKILLED NURSING FACILITY WHICH PROVIDES HOUSING, HEALTHCARE AND OTHER RELATED SERVICES TO RESIDENTS WHO ARE SEVERELY LIMITED IN THEIR ABILITY TO CARE FOR THEMSELVES DUE TO ILLNESS AND/OR DISABILITY, AND A MEDICAL ADULT DAY CARE PROGRAM. THE HOSPITAL IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF ASCENSION HEALTH AND ITS SPONSORED ORGANIZATIONS ARE RELATED TO PROVIDING HEALTH CARE SERVICES.ASCENSION HEALTH ALLIANCE DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH ASCENSION HEALTH ALLIANCE'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ASCENSION HEALTH ALLIANCE USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS.- TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED.- UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS.- COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COST OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME.- COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS.DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS IN THE ACUTE CARE FACILITY, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA AND IS CALCULATED IN COMPLIANCE WITH GUIDELINES ESTABLISHED BY BOTH THE CATHOLIC HEALTH ASSOCIATION (CHA) AND THE INTERNAL REVENUE SERVICE (IRS).THE AMOUNT OF TRADITIONAL CHARITY CARE PROVIDED, DETERMINED ON THE BASIS OF COST, EXCLUDING THE PROVISION FOR BAD DEBT EXPENSE WAS APPROXIMATELY $740,000 FOR THE TWELVE MONTHS ENDED JUNE 30, 2021 AND $1,042,000 FOR THE TWELVE MONTHS ENDED JUNE 30, 2020. THE AMOUNT OF UNPAID COST OF PUBLIC PROGRAMS, COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, AND COMMUNITY BENEFIT COST ARE REPORTED IN THE ACCOMPANYING OTHER FINANCIAL INFORMATION. PART VI, LINE 7, REPORTS FILED WITH STATES NY 1 FAMILY CARE - ENTITLEMENT PROVIDER 3 10800 FAMILY CARE - ENTITLEMENT RESIDENT 9 16705 TCM FULTON RECIPIENTS 260 10096 TCM MONTGOMERY RECIPIENTS 389 9637 PART I, LINE 2: THE GRANT FUNDS AWARDED ARE TO CLIENTS OF THE FAMILY CARE, INTENSIVE CASE MANAGEMENT, AND SUPPORTIVE CASE MANAGEMENT PROGRAMS WHICH ARE ADMINISTERED THROUGH THE HOSPITAL'S BEHAVIORAL HEALTH SERVICES DIVISION. THE AMOUNTS ARE DETERMINED BASED ON EVALUATION OF CLIENT NEEDS AS DETERMINED BY THEIR INDIVIDUAL CASE MANAGERS. ALL AMOUNTS ARE PROCESSED IN ACCORDANCE WITH THE HOSPITAL'S DISBURSEMENTS PRACTICES WHICH REQUIRE EVIDENCE OF SUPPORTING DOCUMENTATION FOR ALL REQUIRED APPROVALS. THE USAGE OF FUNDING FOR FAMILY CARE AND CASE MANAGEMENT ARE IN ACCORDANCE WITH THE OFFICE OF MENTAL HEALTH PROCEDURAL GUIDELINES BY PROGRAM CODE AND FUNDING SCORE. 0 1 0 0 0 0 0 0 0 RONALD MARSH MD VICE-CHAIRMAN 619799 0 150642 0 40267 0 54024 0 26299 0 891031 0 0 0 MOHAMMAD R GHAZI MD SECRETARY 476997 0 81145 0 35984 0 54050 0 21333 0 669509 0 0 0 SCOTT BRUCE DIRECTOR/PRESIDENT & CEO EFFECTIVE J 369870 0 30221 0 39156 0 52163 0 27127 0 518537 0 0 0 VICTOR F GIULIANELLI DIRECTOR/PRESIDENT & CEO THROUGH JUL 13803 0 332591 0 23518 0 2077 0 1291 0 373280 0 0 0 FREDERICK E HENZE JR CHIEF FINANCIAL OFFICER 209374 0 22410 0 10743 0 31329 0 5763 0 279619 0 0 0 WILLIAM MAYER CMO 373002 0 38480 0 41460 0 53234 0 12293 0 518469 0 0 0 PATRICIA SANDERS CNO 141973 0 3475 0 631 0 8663 0 25604 0 180346 0 0 0 DUANE MILLER VP, BEHAVIORAL HEALTH 180905 0 21440 0 18641 0 24783 0 22341 0 268110 0 0 0 JAMES CHARLAND MD PHYSICIAN 547334 0 52071 0 36730 0 54050 0 27460 0 717645 0 0 0 MICHAEL FINNEGAN MD PHYSICIAN 510941 0 133168 0 3958 0 50514 0 29187 0 727768 0 0 0 ALBERT FRASER MD PHYSICIAN 497290 0 76970 0 22949 0 54050 0 29104 0 680363 0 0 0 JAMES IZZANO MD PHYSICIAN 362850 0 183186 0 57714 0 46000 0 45577 0 695327 0 0 0 GARY SINENSKY MD PHYSICIAN 517027 0 73236 0 42036 0 52163 0 19399 0 703861 0 0 0 PART I, LINE 3 A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. FORM 990, SCHEDULE J, PART I, LINE 4B ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. FORM 990, PART VI, SECTION B, LINE 11B DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DESCRIBE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DESIGNATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX EXEMPT PURPOSE. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO THE PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF FOUNDATION 4,128,631. TRANSFERS TO SPONSOR AND OTHER AFFILIATES 48,680,000. OTHER 490,948. CARONDELET REGIONAL MEDICAL PC 427 GUY PARK AVENUE AMSTERDAM NY 12010 814769136 GENERAL PRACTICE CLINIC NY 501(C)(3) LINE 3 ST MARY'S HEALTHCARE 0 MEDICAL SERVICES ENHANCEMENT INC 425 GUY PARK AVENUE AMSTERDAM NY 12010 141776546 MEDICAL OFFICE BUILDING NY 501(C)(25) ST MARY'S HEALTHCARE 0 THE FOUNDATION OF ST MARY'S HEALTHCARE INC 427 GUY PARK AVENUE AMSTERDAM NY 12010 133254655 FOUNDATION NY 501(C)(3) LINE 12C 0 ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(C)(3) LINE 12A, I ASCENSION HEALTH ALLIANCE 0 ALEXIAN BROTHERS HEALTH SYSTEM PO BOX 45998 ST LOUIS MO 63145 363260459 SUPPORTS HEALTHCARE SERVICES FOR RELATED CORPORATIONS IL 501(C)(3) LINE 12C, III-FI ASCENSION HEALTH 0 ASCENSION ARIZONA PO BOX 45998 ST LOUIS MO 63145 860455920 HOSPITAL AZ 501(C)(3) LINE 3 ASCENSION HEALTH 0 ASCENSION DEPAUL HOLDINGS OF EL PASO PO BOX 45998 ST LOUIS MO 63145 742734755 SUPPORTING ORGANIZATION MO 501(C)(3) LINE 12A, I ASCENSION HEALTH 0 ASCENSION HEALTH SENIOR CARE PO BOX 45998 ST LOUIS MO 63145 431227406 PARENT COMPANY MO 501(C)(3) LINE 12B, II ASCENSION HEALTH 0 ASCENSION TEXAS PO BOX 45998 ST LOUIS MO 63145 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) LINE 12A, I 0 MINISTRY HEALTH CARE INC PO BOX 45998 ST LOUIS MO 63145 391490371 PARENT CORPORATION WI 501(C)(3) LINE 12A, I ASCENSION HEALTH 0 OUR LADY OF LOURDES HOSPITAL AT PASCO PO BOX 45998 ST LOUIS MO 63145 910349750 HEALTHECARE WA 501(C)(3) LINE 3 ASCENSION HEALTH 0 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC PO BOX 45998 ST LOUIS MO 63145 150532221 HOSPITAL NY 501(C)(3) LINE 3 ASCENSION HEALTH 0 PROVIDENCE HOSPITAL PO BOX 45998 ST LOUIS MO 63145 530196636 HOSPITAL DC 501(C)(3) LINE 3 ASCENSION HEALTH 0 SAINT THOMAS HEALTH PO BOX 45998 ST LOUIS MO 63145 581716804 SYSTEM PARENT TN 501(C)(3) LINE 12B, II ASCENSION HEALTH 0 SJRMC INC PO BOX 45998 ST LOUIS MO 63145 820204264 HOSPITAL ID 501(C)(3) LINE 3 ASCENSION HEALTH 0 ST AGNES HEALTHCARE INC PO BOX 45998 ST LOUIS MO 63145 520591657 HOSPITAL MD 501(C)(3) LINE 3 ASCENSION HEALTH 0 ST JOHN HEALTH SYSTEM INC PO BOX 45998 ST LOUIS MO 63145 731215174 SYSTEM PARENT OK 501(C)(3) LINE 12A, I ASCENSION HEALTH 0 ST VINCENT HEALTH INC PO BOX 45998 ST LOUIS MO 63145 352052591 PARENT COMPANY IN 501(C)(3) LINE 12C, III-FI ASCENSION HEALTH 0 ST VINCENT'S HEALTH SYSTEM PO BOX 45998 ST LOUIS MO 63145 630931008 HEALTH SYSTEM AL 501(C)(3) LINE 12C, III-FI ASCENSION HEALTH 0 ST VINCENT'S HEALTH SYSTEM INC PO BOX 45998 ST LOUIS MO 63145 593650609 PARENT ENTITY FL 501(C)(3) LINE 12B, II ASCENSION HEALTH 0 ST VINCENT'S MEDICAL CENTER PO BOX 45998 ST LOUIS MO 63145 060646886 HOSPITAL AND SYSTEM PARENT CT 501(C)(3) LINE 3 ASCENSION HEALTH 0 WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INC PO BOX 45998 ST LOUIS MO 63145 391568865 PARENT CORPORATION IL 501(C)(3) LINE 12A, I ASCENSION HEALTH 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0